摘要
目的:研究社区居家照料服务、焦虑情绪与老年人健康自评状况的关系,为改善社区居家照料服务供给,提升老年人自评健康提供科学依据。方法:基于2018年中国老年健康影响因素跟踪调查(CLHLS)数据,采用多元线性回归验证社区居家照料服务对老年人健康自评状况的积极作用。本研究引入焦虑情绪作为中介变量,去探索社区居家照料服务对老年人自评健康的影响机制。结果:相关性分析显示,社区居家照料服务、焦虑情绪与健康自评均显著相关(P<0.01),多重线性回归分析显示“直系亲属提供照料(β=0.197,P<0.01)”“亲属提供资金(β=-0.076,P<0.05)”“政府或社会提供资金(β=-0.135,P<0.01)”“提供服务数量(β=0.011,P<0.05)”“焦虑情绪(β=-0.085,P<0.001)”均能显著影响老年人的自评健康。焦虑情绪在直系亲属提供照料,政府或社会提供资金与自评健康间起部分中介作用;在亲属提供资金、提供服务数量中起完全中介作用。结论:焦虑情绪能够在社区居家照料服务与健康自评状况中起中介作用,由直系亲属提供照料、自己提供养老资金、提供服务数量越多,越能够降低老年人的焦虑情绪,从而提升健康自评得分。
Objective To study the relationship among home and community care,anxiety and the self-rated health status of the elderly,and provide a scientific basis for improving the supply of home and community care and the self-rated health of the elderly.Methods Based on the 2018 CLHLS data,multiple linear regression was used to verify the positive effect of home and com⁃munity care on the self-rated health of the elderly.Anxiety was introduced as a mediating variable to explore the mechanism of the influence of home and community care on self-rated health of the elderly.Results Correlation analysis showed that home and com⁃munity care,anxiety and self-rated health were all significantly associated(P<0.01).Multiple linear regression analysis showed that“immediate family members provided care(β=0.197,P<0.01)”,“funding provided by relatives(β=-0.076,P<0.05)”,“funding provided by the government or society(β=-0.135,P<0.01)”,“number of services provided(β=0.011,P<0.05)”,and“anxiety mood(β=-0.085,P<0.001)”can significantly affect the self-rated health of older people.Anxiety is an part intermediary between the care provided by immediate family members,funds provided by the government or society and self-rated health,and is entire intermediary between the amount of funds and services provided by relatives.Conclusion Anxiety can play an intermediary role in community home care services and self-assessment of health.The more of number of services provid⁃ed with care,pension funds,the greater reduction of the anxiety of the elderly,which can improve their self-assessment scores.
作者
刘涵月
程云慧
梁振宁
王晨曦
周清平
于瑶
钱怡
Liu Hanyue(School of Health Management,Southern Medical University,Guangzhou,P.R.China)
出处
《中国卫生事业管理》
北大核心
2023年第8期572-577,596,共7页
Chinese Health Service Management
基金
国家社科基金后期项目“我国长期照护服务多元供给的整体性治理研究”(20FGLB048)
广东省高校哲学社科重点实验室项目“公共卫生政策研究与评价重点实验室”(2015WSY0010)
2022年度广东省大学生科技创新培育基金项目“广州市居家养老模式下照料服务选择偏好”(pdjh2022b0108)
2022年度国家级大学生创新创业计划项目“基于离散选择性实验的广州市社区居家养老照料服务的偏好研究”(202212121052)。
关键词
社区居家照料服务
焦虑情绪
健康自评
老年人
中介效应
home and community care
anxiety
self-rated health status
the elderly
intermediate effect
